Case Synopsis A 28-year-old woman, gravida 2, para 1, with an estimated gestational age of 28 weeks presents with a new onset of regular uterine contractions. She is admitted to the hospital for intravenous hydration and tocolytic therapy. Acknowledgment The…
Case Synopsis A 29-year-old woman, gravida 4, para 2, has been delivered of a 4200-g infant. Her labor had been augmented after high maternal temperatures and foul-smelling liquor. The anesthesiologist is called 2 hours after delivery of the placenta when…
Case Synopsis A 53-year-old woman undergoes posterior fossa craniotomy for removal of a right acoustic schwannoma. Preoperative symptoms included tinnitus, episodic vertigo, headache, facial asymmetry, and loss of coordination and balance. The surgeon will use a retrosigmoid approach and is…
Case Synopsis A 58-year-old man undergoes transsphenoidal hypophysectomy for resection of a prolactin-secreting pituitary adenoma with suprasellar extension. Ten hours after surgery, urine output exceeds 3 L/h, and the serum sodium level is 150 mEq Acknowledgment The authors wish to…
Case Synopsis A 74-year-old woman with a long-standing history of insulin-dependent diabetes, hypertension, chronic kidney disease, and a 50 pack-year smoking history requires right lower limb surgical revascularization due to lifestyle-limiting claudication. The patient is on carvedilol, simvastatin, lisinopril, and…
Case Synopsis A 4-year-old boy presents for inguinal hernia repair. In the preoperative holding area, he appears scared and agitated and refuses to leave his mother’s lap. On separation, he cries and tries to escape from the anesthesiologist. One week…
Case Synopsis A 35-year-old man presents to the emergency department complaining of left eye pain and loss of vision after being hit by a nail in the left eye while working in a construction project. He had eaten a full…
Case Synopsis A 72-year-old man is scheduled for robotic-assisted right upper lobe wedge resection for adenocarcinoma. His medical history is notable for stable coronary artery disease treated with coronary artery bypass grafting and a bare metal stent and hypertension treated…
Case Synopsis A 75-year-old woman presents for hemiarthroplasty after a femoral neck fracture. She has a history of hypertension, coronary artery disease, moderate pulmonary hypertension, and osteoporosis. Her medications include lisinopril and clopidogrel. The patient undergoes induction of general anesthesia,…
Case Synopsis A 23-year-old previously healthy man is scheduled for cervical mediastinoscopy for tissue diagnosis of a mediastinal mass. He presents with a 3-month history of fatigue and dyspnea on exertion and reports that he cannot sleep on his left…